Guevara, Mary-Jennelle

Guevara, Mary-Jennelle is an sole proprietor health care provider with primary practice located at 1875 Dempster St Suite 180, Park Ridge IL 60068-1186. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Guevara, Mary-Jennelle can be contacted via phone (847) 897-9010.

Contact Information

Primary practice address
1875 Dempster St Suite 180 Park Ridge IL 60068-1186
Phone: (847) 897-9010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209009523 Illinois

Profile Details

NPI number 1225397268
LBN Legal business name Guevara, Mary-Jennelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2012
Last updated Feb 19th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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